Earticle

초록

영어

Since the reform and opening up in the 1970s, China has turned into the world′s 2nd largest by GDP. During that time, the Chinese social security system has also been greatly changed. In the case of basic medical insurance system which is composed of Urban Employee Basic Medical Insurance, New Rural Cooperative Medical Insurance, and Urban Resident Basic Medical Insurance, the total coverage of medical insurance has dramatically expanded from 8.4% in 2003 to 97.5% in 2014. The aim of this paper is to investigate the state of equity, which is the central value of social security system. There are so many controversies in concept and criterion for equity. But in this paper, equity is understood as a subordinate concept and coordinating principle of equality. In applying to the Chinese medical insurance system, equity is divided into the following two aspects: 1) ex ante equity which is similar to equality of opportunity; and 2) ex post equity which is similar to equality of outcome. Ex ante equity is operationalized as eligibility and compulsoriness of enrollment, equal contribution and average medical insurance funds per capita, and equal distribution of medical resources between rural and urban areas. Ex post equity is operationalized as equal rate of insurance benefits, equal level of insurance benefits, and the equal ratio of medical expenditure to income. According, research findings, since the expansion of the medical insurance system in 2003, people have less benefitted than urban people. Thus, this paper concludes that the Chinese medical insurance system has the problem of disparity that is against the critical value of the system itself. In addition, it expresses a concern about the dysfunction of the medical insurance system, thus contributing to working as a social stratification mechanism, and reflecting and reinforcing existing inequalities or cleavages in the Chinese society.

목차

Abstract
 1. 서론
 2. 중국의 의료보험제도 개관
  2.1 정치경제체제와 사회보장: 사회주의국가와 의료보험
  2.2 의료보험제도의 의의와 성격
  2.3 중국 의료보험제도의 현황과 특징
 3. 형평성에 대한 고찰과 분석틀
  3.1 형평성의 의의와 판단기준
  3.2 의료보험제도의 형평성
  3.3 분석의 틀
 4. 중국의료보험제도의 형평성 분석
  4.1 사전적 형평성
  4.2 사후적 형평성
 5. 결론
 참고문헌

키워드

저자

• 장정 [ Zhang, Jing | 전남대학교 대학원 행정학과 ]
• 심미승 [ Shim, Miseung | 전남대학교 행정학과 ] Corresponding author

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  Journal of China Studies

• 간기

  계간

• pISSN

  1975-5902

• eISSN

  3022-5590

• 수록기간

  2006~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 912 DDC 951